49D0984410 CLIA NUMBER - WALGREENS #5876 - PHARMACY DEPARTMENT

Laboratory Demographics

  • CLIA Code: 49D0984410
  • Facility Name: WALGREENS #5876 - PHARMACY DEPARTMENT
  • Facility Address: 115 W LITTLE CREEK ROAD
    NORFOLK, VA
    ZIP 23505
  • Facility Phone: 757 489-5291
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DESMOND KENEWA
  • NPI Number: 1912912965
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D0984410
LAB Type Pharmacy
Facility Name WALGREENS #5876 - PHARMACY DEPARTMENT
Street 115 W LITTLE CREEK ROAD
City NORFOLK
State VA
ZIP 23505
Phone 757 489-5291
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Pharmacy
Lab Director DESMOND KENEWA

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This page was last updated on: 9/29/2025